Inclusion Criteria>65 years of age (have drug insurance from Alberta Blue Cross with 30% copayment)
Have any one of the following:
- coronary disease
- prior stroke
- chronic kidney disease
- heart failure
OR any two of the following:
- current cigarette smoking (>1/2 pack per day)
- diabetes mellitus
Have total family income <$50,000
Exclusion Criteria- Coverage by another insurance plan where no drug payment is required (i.e. copayment <30%)
- Inability to participate in education modules (e.g. lack of proficiency in English; cognitive impairment).
- Has every dose of their medication provided to them by a nurse or other professional caregiver?
- Inability to provide informed consent